Effects of intravenous Semelil (ANGIPARS�) on diabetic foot ulcers healing: A multicenter clinical trial

Some diabetic foot ulcers, which are notoriously difficult to cure, are one of the most common health problems in diabetic patients .There are several surgical and medical options which already have been introduced for treatment of diabetic foot ulcers, so some patient will require amputation. The purpose of this study was to evaluate the efficacy of intravenous Semelil (ANGIPARS�), a naive herbal extract to accelerate healing of diabetic foot ulcers. A multi-centric randomized controlled trial was conducted to evaluate intravenous Semelil for healing of diabetic foot ulcers. Sixteen diabetic patients were treated with intravenous Semelil, and nine other patients were treated with placebo as control group. Both groups were otherwise treated by wound debridement and irrigation with normal saline solution, systemic antibiotic therapy and daily wound dressing. Before and after intervention, the foot ulcer surface area was measured, by digital photography, mapping and planimetry. After 4 weeks, the mean foot ulcer surface area decreased from 479.93±379.75 mm2 to 198.93±143.75 mm2 in the intervention group (p = 0.000) and from 766.22±960.50 mm2 to 689.11±846.74 mm2 in the control group (p = 0.076). Average wound closure in the treatment group was significantly greater than placebo group (64 vs. 25, p= 0.015). This herbal extract by intravenous rout in combination with conventional therapy is more effective than conventional therapy by itself probably without side effect. However, further studies are required in the future to confirm these results in larger population

High-voltage pulse generator based on sequentially charged MMC-SMs operating in a voltage-boost mode

Pulse forming networks and Marx generators are the classical rectangular waveform pulse generators (PGs). They are inflexible and their capacitors must be fully charged to the required voltage from 0V before delivering each high-voltage (HV) pulse. They are only able to generate unipolar pulses; if bipolar pulses are sought another generator fed from a negative supply voltage is added. Recently, several power electronics based PGs have been proposed. This paper presents an HV power electronics based PG, which is based on Half-Bridge Modular Multilevel Converter (HB-MMC) sub-modules (SMs) charged sequentially in a voltage boost mode. Each SM capacitor and main switch form a boost converter with the charging input supply and inductor. As a result, all SM capacitors are charged to a voltage greater than the input. During the discharging process the SM capacitors are connected in series, producing a rectangular HV pulse across the load. The proposed charging method allows a reduction in the converter footprint in comparison with recently proposed MMC sequentially charged PG topologies. Although only rectangular pulse waveforms are sought in this paper, a SM capacitor voltage balance method allows multilevel pulse generation. The viability of the proposed converter is confirmed by MATLAB/Simulink simulation and scaled-down experimentation